Nephrotic syndrome• TREATMENT –Supportive Treatment • Monitoring and maintaining euvolemia –Monitoring urine output, BP regularly –Fluid restrict to 1L. –Diuretics (IV furosemide).
Nephrotic syndrome• TREATMENT –Supportive Treatment • Monitoring kidney function –Do EUCs daily and calculating GFR –Treat hyperlipidemia to prevent further atherosclerosis. –Prevent and treat any complications
Nephrotic syndrome• TREATMENT –Specific Treatment • Immunosuppression for the glomerulonephritides
Glomerulonephritis• Also known as glomerular nephritis (GN) or glomerular disease• It is a disease of the kidney, characterized by inflammation of the glomeruli
Glomerulonephritis• Acute Glomerulonephritis –Symptoms • puffiness of your face in the morning • blood in your urine (or brown urine) • urinating less than usual
Glomerulonephritis• Chronic Glomerulonephritis –Cause • This condition may develop after survival of the acute phase of rapidly progressive glomerulonephritis
Glomerulonephritis• Chronic Glomerulonephritis –Signs and symptoms • Blood or protein in the urine • High blood pressure • Swelling of your ankles or face • Frequent nighttime urination • Very bubbly or foamy urine
Glomerulonephritis• Diagnosis –Urine test –Blood test –Throat swab –Renal function tests –Kidney biopsy –Imaging tests
Glomerulonephritis• Treatment –Diet and fluid intake –Blood chemistry
Glomerulonephritis• Treatment –The following medications may also be prescribed to treat possible underlying causes: • Bacterial infections - a targeted antibiotic • Lupus or vasculitis - corticosteroids and immunosuppressants
Glomerulonephritis• Treatment • IgA - possibly fish oil supplements. • Goodpastures syndrome - plasmapheresis is a procedure designed to reduce blood plasma levels without depleting the body of its blood cells. Antibodies are removed and donated plasma replaces the depleted plasma
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